Hemorrhoids, likewise referred to as piles, are protrusions of varicose veins and connective tissue around the canal reaching inside the rectum. Symptoms are itching, pain, bleeding, and swelling. The top cause is genetics (a lack of valves within the hemorrhoidal veins), followed by irregular bowel routines (irregularity or diarrhea), and any activity that causes increased intra-abdominal pressure (prolonged straining, raising, and so on).Piles are categorized as external or internal, and can be staged or graded 1 to 4. Category of Hemorrhoids page and or watch the Hemorrhoid Surgery Video to see and hear the distinctions in the Goligher hemorrhoid classification system, and to discover the fundamentals of Hemorrhoid surgical treatment.